FLS Benefits Calculator

In just 3 clicks this Calculator will estimate the benefits of implementing an effective Fracture Liaison Service. The benefits are measured in terms of reduced fragility fracture incidence and cost savings that can be realised in a local health economy.

This tool has been designed for use by NHS hospitals, community services and commissioning organisations to help develop a local Fracture Liaison Service (FLS). The Calculator will enable you to estimate the financial benefits that can be realised in your local health economy as a result of implementing an effective FLS. The Calculator asks you to input the number of fragility fractures that you would expect to treat in your new or expanded FLS. If you don't have this information you can use the option of calculating these by selecting your local population and referral criteria and then applying national incidence data.

Please note that this version of the online ROS FLS Benefits Calculator uses population and costing data from 2015. We are in the process of updating and revalidating the model and this will be available online shortly.

Output reports generated from this version of the tool will still provide a fair indication of the gross benefits of FLS provision within a locality. However, up-to-date output reports, using 2018 data, are available through direct liaison with the Service Delivery Team. Please contact the team on 01761 471 771 or email: fls@theros.org.uk

Location

Country

CCGs for Scotland

CCGs for England

Calculator

Include fracture type within analysis?

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Number of local fractures

Include population cohort for analysis (by age/gender)?

Include male?

Aged between:

85+

Include female?

Aged between:

50-54

Include % population growth?

Year

Calculated population growth

Local estimate population growth

2020

0%

use estimated

2021

0%

use estimated

2022

0%

use estimated

2023

0%

use estimated

Include population estimates?

Enter population estimate

Population estimate is required

OR

% of population in hospital catchment

Population for inclusion

Include fracture prevention rates?

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Expected proportion of fractures prevented

2.26%

1.13%

1.13%

0.75%

Known local data for fracture prevention rate

Apply Market Forces Factor?

Apply Market Forces?

Selecting 'Yes' will apply MFF value (below) to NHS Acute costs.

Market Force

MFF Value

Report

Important: This report has been created by the Royal Osteoporosis Society to assist NHS organisations in
preparing a business case or other documentation in support of establishing an FLS. The report is free and no copyright attaches
to any part of the report.

Population for inclusion

Number of patients expected in FLS

Predicted number of patients to be treated each year (includes population growth where data entered)

Year

Patient Numbers

2019

0

2020

0

2021

0

2022

0

2023

0

All yrs

0

Number of fractures prevented

Number of fractures prevented in each of 5 years for patients treated all years

Year

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

2019

0

0

0

0

2020

0

0

0

0

2021

0

0

0

0

2022

0

0

0

0

2023

0

0

0

0

All yrs

0

0

0

0

Costs per fracture prevented

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Acute Care

£7,825

£1,750

£349

£1,902

Community and Primary Care

£448

£57

£57

£59

Social Care

£8,237

£150

£150

£2,908

Market forces factor has been applied

No

Name of trust for MFF calculation and MFF value

Not applied

1.00000

Benefits of an FLS

Acute care

Year

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Total

Average benefit per year

2019

£0

£0

£0

£0

£0

£0

2020

£0

£0

£0

£0

£0

2021

£0

£0

£0

£0

£0

2022

£0

£0

£0

£0

£0

2023

£0

£0

£0

£0

£0

All yrs

£0

£0

£0

£0

£0

Community and primary care

Year

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Total

Average benefit per year

2019

£0

£0

£0

£0

£0

£0

2020

£0

£0

£0

£0

£0

2021

£0

£0

£0

£0

£0

2022

£0

£0

£0

£0

£0

2023

£0

£0

£0

£0

£0

All yrs

£0

£0

£0

£0

£0

Social care

Year

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Total

Average benefit per year

2019

£0

£0

£0

£0

£0

£0

2020

£0

£0

£0

£0

£0

2021

£0

£0

£0

£0

£0

2022

£0

£0

£0

£0

£0

2023

£0

£0

£0

£0

£0

All yrs

£0

£0

£0

£0

£0

All benefits

Year

Hip fracture (inpatient)

Other fracture site (inpatient)

Other fracture site (outpatient)

Clinical vertebral

Total

Average benefit per year

2019

£0

£0

£0

£0

£0

£0

2020

£0

£0

£0

£0

£0

2021

£0

£0

£0

£0

£0

2022

£0

£0

£0

£0

£0

2023

£0

£0

£0

£0

£0

All yrs

£0

£0

£0

£0

£0

Using the outputs from this calculator

This Calculator provides an estimate of the benefits of implementing an FLS in your area. This information has been designed to be used in a business case showing the value of implementing and running a service for 5 years. It is not an economic model and does not take into account the costs of running your service. These must be calculated separately and set against the expected benefits. From information available to the Royal Osteoporosis Society, the cost of the service should be much less than the estimated benefits. It is recommended by NHS England for any business case that the average costs per year over 5 years should amount to no more than 80% of the value of the benefits. The costs of a high-quality FLS, working to national guidelines, should fall well within this limit. If you require information on the references for the costs used in this model please contact us at the number shown in the contact box above.